Annals for Educators - September 2022
Authors: Christine Laine
Journal: Annals of Internal Medicine (2022)

Web ExclusivesSeptember 2022Annals for Educators - September 2022FREEChristine Laine, MD, MPHChristine Laine, MD, MPHSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/AWED202209200 SectionsAboutVisual AbstractPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Clinical Practice PointsRisk for Myocardial Infarction, Stroke, and Pulmonary Embolism Following COVID-19 Vaccines in Adults Younger Than 75 Years in FranceSevere cardiovascular events (myocardial infarction, pulmonary embolism, and stroke) have been reported after COVID-19 vaccination. This registry-based analysis assessed short-term risk for severe cardiovascular events after COVID-19 vaccination in France's 46.5 million adults younger than 75 years.Use this article to:Discuss the adverse effects associated with the different COVID-19 vaccines.Review indications and timing for the bivalent COVID-19 vaccines that became available in September 2022.Preventing Obesity in Midlife Women: A Systematic Review for the Women's Preventive Services InitiativePreventing Obesity in Midlife Women: A Recommendation From the Women's Preventive Services InitiativeWomen in midlife are particularly at risk for weight gain. This systematic review summarizes the evidence for the effectiveness of behavioral interventions to prevent weight gain and obesity among women in midlife. The guideline synopsis discusses the recommendations of the Women's Preventive Services Initiative on prevention of obesity among women in midlife.Use these articles to:View the video summary of the systematic review as a group. Discuss the strengths and weaknesses of the evidence included in the systematic review.Invite a nutritionist to join your session to review dietary strategies to maintain normal weight.Role-play counseling a hypothetical woman with normal weight about strategies to prevent weight gain.Clinical Practice Guidelines From the Association for the Advancement of Blood and Biotherapies (AABB): COVID-19 Convalescent PlasmaThe Fast and the Furious: Chasing a Clinical Niche for COVID-19 Convalescent PlasmaThe Association for the Advancement of Blood and Biotherapies developed clinical practice guidelines for appropriate use of COVID-19 convalescent plasma (CCP). The first article describes the evidence and rationale for recommendations on inpatient and outpatient treatment and prophylaxis. The accompanying editorial discusses the recommendations and the lessons the experience with CCP provides for use of passive immunotherapy for future emerging infectious diseases.Use this article and the editorial to:Discuss the clinical scenarios in which use of CCP should and should not be considered.Review the procedures at your institution for prescribing CCP.Invite an infectious disease specialist to join your session and discuss other clinical situations in which convalescent plasma may be beneficial.Research and Reporting MethodsGood Publication Practice (GPP) Guidelines for Company-Sponsored Biomedical Research: 2022 UpdateThe Good Publication Practice (GPP) guidelines provide recommendations for individuals and organizations that contribute to the publication of results of research supported by pharmaceutical, medical device, diagnostics, and biotechnology companies. This update reflects changes in the medical publications environment and aims to improve reporting of research initiated by commercial organizations.Use this article to:List the features of trustworthy industry-funded research.List the features that identify industry-funded research that may not be trustworthy.Find several clinical trials supported by the pharmaceutical industry, and evaluate whether they meet the criteria for trustworthiness identified in this article.Humanism and ProfessionalismUnintended Consequences of SCOTUS Abortion Decision for Patients With Rheumatic DiseasesUrgent Call to Action: Engaging Hospitalists in Family PlanningI Remember MarjorieThe first article discusses the Supreme Court's ruling in Dobbs v. Jackson and the concerns it raises for patients with rheumatic disease and their clinicians, including access to medically indicated abortion, access to necessary medications that are teratogenic, and laws that interfere with patient–clinician discussions about reproductive issues. The second article argues that hospitalists should be addressing contraceptive needs among inpatients despite possible challenges. In the third article, the author recalls a patient who died of complications from an unsafe abortion.Use these articles to:Review the implications of the Dobbs v. Jackson ruling on access to pregnancy termination in the state where your institution is.Invite an OB-GYN to your session to review the different types of contraception to help prepare your learners to provide contraception counseling to their patients.Role-play counseling a patient who just learned that she is pregnant about her desire to continue the pregnancy.Deep Venous ThrombosisVenous thromboembolism (VTE) is the third most common cardiovascular disorder, affecting up to 5% of the population. It commonly manifests as lower-extremity deep venous thrombosis (DVT) or pulmonary embolism. Half of these events are associated with a transient risk factor and may be preventable with prophylaxis. Direct oral anticoagulants are effective, are safe, and carry a lower risk for bleeding than vitamin K antagonists. Many patients with VTE will have a chronic disease requiring long-term anticoagulation. Postthrombotic syndrome affects 25% to 40% of patients with DVT and significantly impacts function and quality of life.Use this article to:Discuss the criteria for the diagnosis of VTE.Review the indications for VTE prophylaxis.Review the recommendations for anticoagulation in patients with provoked and unprovoked VTE.Discuss the criteria for hospitalization of a patient with VTE.Test your learners' knowledge by having them complete the quiz that accompanies the article and then reviewing the correct answers.Do you like reading Annals for Educators? Receive it direct to your inbox. Sign up for the Annals for Educators alert today. Comments0 CommentsSign In to Submit A Comment Author, Article, and Disclosure InformationAuthors: Christine Laine, MD, MPHFrom the Editors of Annals of Internal Medicine and Education Guest Editor, Gretchen Diemer, MD, FACP, Associate Dean of Graduate Medical Education and Affiliations, Thomas Jefferson University. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics September 2022Volume 175, Issue 9Page: ED9 ePublished: 20 September 2022 Issue Published: September 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...